Gary P Brunk in Lima - Dentist

Gary P Brunk - NPI 1659468247

Gary P Brunk is a Dentist in Lima, Ohio. Gary P Brunk practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary P Brunk is 1659468247. The last update date is 2011-06-21.

Gary P Brunk's current location address is 2345 W Elm St, Lima, Ohio. You can contact this provider via phone number 4192275544 and fax number 4192271520. The mailing address for Gary P Brunk is 2345 W Elm St, Lima, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary P Brunk
Address 2345 W Elm St, Lima, Ohio
Phone Number 4192275544
Fax Number 4192271520
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1659468247
Provider Enumeration Date 2006-10-06
Last Updated Date 2011-06-21

Provider Mailing Address Detail

Address 2345 W Elm St
City Lima
State Ohio (OH)
Post Code 45805
Phone Number 4192275544
Fax Number 4192271520

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 14923
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2914270 OH --

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FAQs about Gary P Brunk

What is the unique 10-digit identifier code issued to Gary P Brunk by the Centers for Medicare & Medicaid Services?

The Gary P Brunk has been assigned the NPI (National Provider Identifier) 1659468247 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gary P Brunk's facilities are geographically located?

The facilities of Gary P Brunk are physically situated at the following location: 2345 W Elm St, Lima, OH, 45805.

What is the Gary P Brunk's specialty and taxonomy code?

The Gary P Brunk's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Gary P Brunk receive its 1659468247 assignment from the Centers for Medicare & Medicaid Services?

The Gary P Brunk was assigned its 1659468247 by the Centers for Medicare & Medicaid Services on 2006-10-06.

As of what date was the information regarding Gary P Brunk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gary P Brunk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-21.

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